| 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 |