| NPI | 1235170242 |
|---|---|
| Former Name | SUSAN LYNN STABA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: FL ME79161) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX M8760) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2017-03-29 |