| NPI | 1417445636 |
|---|---|
| Former Name | SUZANNE MICHELLE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: MD D0099379) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ R76671) |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2024-04-15 |