| NPI | 1487916482 |
|---|---|
| Former Name | SUSAN MARIE SLATTERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: IL 125061450) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2019-01-10 |