NPI | 1568464683 |
---|---|
Former Name | SUZANNA PICKETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: TX F9955) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: TX E80961) |
Enumeration Date | 2005-06-01 |
Last Update Date | 2013-05-10 |