| NPI | 1386965374 |
|---|---|
| Former Name | SUZANNE ROSE KOHOUT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 061895) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 251733) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2019-05-23 |