| NPI | 1205847407 |
|---|---|
| Former Name | SUSAN M HALLI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP2827) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IL 209-004636) |
| 363L00000X Nurse Practitioner (Licence: AZ RN148002) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-09-08 |