| NPI | 1851565428 |
|---|---|
| Former Name | MARY SUSAN MCCALLISTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01071765A) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: UT 7590715-1205) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2014-03-05 |