| NPI | 1194728139 |
|---|---|
| Former Name | SUSAN J SWEENEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: HI AMD-974) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: GA 003587) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2020-07-31 |