| NPI | 1356590392 |
|---|---|
| Former Name | SUSAN KAY RUSCHE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA 9105988) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 1197) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2013-08-29 |