| NPI | 1962532705 |
|---|---|
| Former Name | SUSAN M FOUTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CO 2126) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2014-06-19 |