| NPI | 1154575561 |
|---|---|
| Former Name | SUSAN E PARKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA07373) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 1675) |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2023-05-05 |