| NPI | 1104028281 |
|---|---|
| Former Name | SUSAN C. FITZ-WILLIAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP81562) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL ARNP821072) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2022-09-13 |