| NPI | 1760431167 |
|---|---|
| Former Name | SUSAN ANN STIFFE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301114444) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 42921) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2020-01-13 |