| NPI | 1912389776 |
|---|---|
| Former Name | SUSANNA SCOTT TUBBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AL 44735) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 7587) |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2022-08-30 |