| NPI | 1124330014 |
|---|---|
| Former Name | SUSAN N GRIZZARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 4281) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2020-12-02 |