NPI | 1770824732 |
---|---|
Former Name | SUSAN SUOZZO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2017010647) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 05-39880) |
Enumeration Date | 2013-03-14 |
Last Update Date | 2021-02-25 |