| NPI | 1790216828 |
|---|---|
| Former Name | SUZANNE KISSEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CO DR.0072954) |
| Additional Taxonomies | 208800000X Urology (Licence: UT 10964181-1205) |
| 208800000X Urology (Licence: TX T8250) | |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2024-07-01 |