NPI | 1760469977 |
---|---|
Former Name | SUZANNE M MENZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO R4F75) |
Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: MO R4F75) |
Enumeration Date | 2005-12-29 |
Last Update Date | 2025-01-15 |