| NPI | 1588601371 |
|---|---|
| Former Name | STEPHANIE SUE SUTHERLAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: LA MD.023888) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AL 00022374) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 058684) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2017-08-28 |