| NPI | 1225100324 |
|---|---|
| Former Name | SUSAN ELIZABETH TEITSMA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO 35186) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CO 35186) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2022-03-14 |