| NPI | 1417979667 |
|---|---|
| Former Name | SUSIE M ESTES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: WA MD61008905) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD0000038135) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TN 38135) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX pending) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: WI 18352) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2020-05-19 |