NPI | 1114106804 |
---|---|
Former Name | SUSAN BEIGHTOL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: MO 2018026781) |
Additional Taxonomies | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: KS 78270) |
364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: OK 83955) | |
Enumeration Date | 2007-10-30 |
Last Update Date | 2018-11-26 |