| NPI | 1013217314 |
|---|---|
| Former Name | SUZANNE N DALE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA08504) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: LA 200390) |
| 363A00000X Physician Assistant (Licence: TN 2159) | |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2013-08-01 |