| NPI | 1811995566 |
|---|---|
| Former Name | SUZANNE ALT JARBOE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO R9G62) |
| Additional Taxonomies | 208VP0000X Pain Medicine Pain Medicine (Licence: MO R9G62) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2020-09-29 |