| NPI | 1003010497 |
|---|---|
| Former Name | SUSAN MARIE BAUGHMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041222627) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WY 24823) |
| 163WE0003X Registered Nurse, Emergency (Licence: NM R43552) | |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2007-07-08 |