| NPI | 1841683331 |
|---|---|
| Former Name | SUSAN RAE TOBIAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0000819) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE LG-0000819) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2021-06-16 |