| NPI | 1205945151 |
|---|---|
| Former Name | SUSAN ELIZABETH STEPHENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA G 080393) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD 21292) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2009-02-25 |