| NPI | 1023762499 |
|---|---|
| Other Name | SUSAN CECELIA MCCORMICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: NY 854834) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 854834) |
| 164W00000X Licensed Practical Nurse (Licence: NY 238140) | |
| Enumeration Date | 2022-02-04 |
| Last Update Date | 2024-09-25 |