| NPI | 1649564949 |
|---|---|
| Former Name | SUSAN M EGBE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX T0641) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2015-01346) |
| 207Q00000X Family Medicine (Licence: OK 28476) | |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2023-11-16 |