| NPI | 1346295581 |
|---|---|
| Former Name | SUSAN M. KORMANIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CO 44134) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 44134) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2021-05-05 |