| NPI | 1780613489 |
|---|---|
| Former Name | SUSAN L. RABEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR N-7882) |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: AR N-7882) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: AR N-7882) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2019-03-20 |