| NPI | 1790803229 |
|---|---|
| Former Name | SUSAN J ADAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: FL OT4353) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL OT0004353) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2022-11-10 |