| NPI | 1083898555 |
|---|---|
| Former Name | SUZANNE LOUISE ROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 1064581A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX H4713) |
| 208000000X Pediatrics (Licence: TN 32102) | |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2017-07-21 |