| NPI | 1679834626 |
|---|---|
| Former Name | SUZANNE RUSSELL STEVENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 53374) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 53374) |
| 207R00000X Internal Medicine (Licence: AR E-13541) | |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2024-01-11 |