| NPI | 1265535876 |
|---|---|
| Former Name | SUSAN MARIE BURTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN R1298303) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ND R28900) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2013-08-08 |