| NPI | 1700010022 |
|---|---|
| Former Name | SUSAN KOREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 254243) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A121165) |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2020-10-07 |