NPI | 1134733694 |
---|---|
Former Name | SUSAN L DAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 71279) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID 40358) |
Enumeration Date | 2020-09-02 |
Last Update Date | 2022-03-30 |