| NPI | 1083041602 |
|---|---|
| Former Name | SUSAN RENEE NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: CO 0097254) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: CO 0097254) |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2013-10-23 |