NPI | 1770710980 |
---|---|
Former Name | SUZANNE N FRIEDEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 04277) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS14053) |
207Q00000X Family Medicine (Licence: IA 4277) | |
Enumeration Date | 2009-06-15 |
Last Update Date | 2023-02-09 |