NPI | 1023303260 |
---|---|
Former Name | SUSAN C WARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: AZ AP4797) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WY 20778.1114) |
363LF0000X Nurse Practitioner Family (Licence: ID NP-1071A) | |
Enumeration Date | 2011-06-16 |
Last Update Date | 2025-03-26 |