| NPI | 1013291434 |
|---|---|
| Former Name | SUZANNE ELIZABETH LANGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN CNP5086) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: MN CNP5086) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: MN CNP 5086) | |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2024-05-30 |