| NPI | 1114094679 |
|---|---|
| Former Name | SUSAN G BRASSIL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-0700) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TX PA10418) |
| 363AM0700X Physician Assistant, Medical (Licence: NC 0010-00700) | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2022-08-25 |