| NPI | 1285668707 |
|---|---|
| Former Name | SUSAN R SLAKES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA G129761) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 01043929A) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-06-30 |