| NPI | 1053720441 |
|---|---|
| Former Name | SUSAN MARINA BECK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA 105921) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 32978) |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2024-01-25 |