| NPI | 1164817219 |
|---|---|
| Former Name | ELIZABETH THERESA SUTTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MI 5101027710) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: ME DO3266) |
| Enumeration Date | 2015-04-04 |
| Last Update Date | 2023-10-20 |