| NPI | 1184775934 |
|---|---|
| Former Name | SUSAN JEAN WESCOAT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MA 202345) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2016-01-28 |