| NPI | 1023422342 |
|---|---|
| Former Name | SUSAN WINEGARDNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-76317-091) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2014004539) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2024-04-18 |