| NPI | 1134147325 |
|---|---|
| Former Name | SUSAN PAIGE HERTWECK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: KY 25239) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: KY 25239) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-05-26 |