| NPI | 1114432812 |
|---|---|
| Former Name | SUSAN B CLIME |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024175057) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: VA 0024175057) |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2024-11-15 |