| NPI | 1679615959 |
|---|---|
| Former Name | SUSAN HIGGINS OLSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VT 0420006655) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 14947) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2016-03-22 |