| NPI | 1760603492 |
|---|---|
| Former Name | SUZANNE LOUISE BUKREY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NC 2008-01471) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2016-08-17 |