| NPI | 1225305758 |
|---|---|
| Other Name | SUSAN G KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 5045-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 192873-30) |
| 363L00000X Nurse Practitioner (Licence: PA SP011662) | |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2023-05-30 |