| NPI | 1104041383 |
|---|---|
| Former Name | SUSAN E. WADKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30005838) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30005838) |
| Enumeration Date | 2007-04-14 |
| Last Update Date | 2015-05-22 |