| NPI | 1982729521 |
|---|---|
| Former Name | SUSAN LYNN EVERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME129885) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036105621) |
| 207Q00000X Family Medicine (Licence: OR MD168061) | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2017-03-13 |