NPI | 1093957920 |
---|---|
Former Name | SUSAN P ALTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 1718972) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 6918-33) |
363LF0000X Nurse Practitioner, Family (Licence: FL ARNP1718972) | |
Enumeration Date | 2009-03-24 |
Last Update Date | 2018-12-12 |