| NPI | 1629055496 |
|---|---|
| Former Name | SUSANNAH C PERKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO CDRH.0056218) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX L7299) |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2026-04-23 |