| NPI | 1912011222 |
|---|---|
| Former Name | SUSAN D BURN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL OS 10992) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA 3757) |
| 208000000X Pediatrics (Licence: NE 381) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-08-25 |