| NPI | 1073788790 |
|---|---|
| Former Name | SUSAN BLACKBURN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: OK R0039104) |
| Additional Taxonomies | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: OK R0039104) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |