NPI | 1841581956 |
---|---|
Former Name | SHAWNA SUCHECKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: IL 036144273) |
Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: IL 036144273) |
2084H0002X (Licence: IL 036144273) | |
Enumeration Date | 2011-04-22 |
Last Update Date | 2024-09-20 |