| NPI | 1548459159 |
|---|---|
| Former Name | SUSAN D KEASLING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 25052) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 49321) |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2016-07-19 |