| NPI | 1013113265 |
|---|---|
| Former Name | JENNIFER JO SUESS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IL 016.005347) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: VA 0103300964) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2015-05-08 |