| NPI | 1518088087 |
|---|---|
| Former Name | SUSAN MARIE DURIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60135247) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: UT 5756967-1205) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2026-05-28 |