NPI | 1699942763 |
---|---|
Former Name | SUSAN ELIZABETH MACKIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 245703) |
Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MA 245703) |
Enumeration Date | 2008-05-08 |
Last Update Date | 2018-02-28 |