| NPI | 1346335189 |
|---|---|
| Former Name | KATHLEEN SUZANNE SUCKOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MT 11368) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 4193) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2024-04-05 |