| NPI | 1235267329 |
|---|---|
| Former Name | SUSAN MARIE GODSCHALX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 200250033NP) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2009-12-21 |