| NPI | 1326019704 |
|---|---|
| Former Name | SUSAN MARGARET MCVICKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: HI MD-12360) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: HI MD12360) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2023-07-27 |