| NPI | 1386804342 |
|---|---|
| Former Name | SALOME SUTTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: TX AP142342) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX AP142342) |
| 171W00000X Contractor | |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2025-09-09 |