| NPI | 1053581827 |
|---|---|
| Former Name | SUSAN M KASCHALK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KS 15-01232) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MO 2008012518) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2008-11-06 |