NPI | 1407101744 |
---|---|
Former Name | SUSAN ZANE EPSTEIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: TX J6421) |
Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CO DR.0068882) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL0008441) | |
Enumeration Date | 2012-07-23 |
Last Update Date | 2022-11-05 |