NPI | 1073248050 |
---|---|
Former Name | SUSAN M. OLBRYCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: VT 026.0113090) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VT 097.0135338) |
163W00000X Registered Nurse (Licence: NH 071623-21) | |
Enumeration Date | 2022-07-22 |
Last Update Date | 2022-08-03 |