NPI | 1073639027 |
---|---|
Former Name | SUSAN LEE KNIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA.09262) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA.09262-NP) |
Enumeration Date | 2007-03-21 |
Last Update Date | 2019-11-22 |