| NPI | 1063472298 |
|---|---|
| Former Name | SUSAN THERESA MANNING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN356978L) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH RN259292-COA1) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2020-10-06 |