| NPI | 1003916784 |
|---|---|
| Former Name | SUSAN M. BETTASSO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036075503) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036-075503) |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2013-09-25 |