| NPI | 1245347988 |
|---|---|
| Former Name | SUSAN WHITE BRAUNSTEIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology Pediatric Radiology (Licence: AZ 21752) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: IN 01036403) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2013-01-11 |