| NPI | 1497868517 |
|---|---|
| Former Name | SUSAN BETH KLINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP001100500) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 009397-1) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2013-08-05 |