| NPI | 1114905585 |
|---|---|
| Other Name | SUSAN KATHERINE BLICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174390) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN143856) |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2019-02-08 |