| 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 |