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 |