| NPI | 1649289927 |
|---|---|
| Former Name | SUSAN B ALTUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: TX L9256) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2019-09-05 |