| NPI | 1306946249 |
|---|---|
| Former Name | SUE FAIR PARKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: VA 0102202136) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 39020000X) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2013-08-27 |