NPI | 1245580661 |
---|---|
Other Name | SUSAN M DEARDEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 5272910-4405) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: ID NP 1218A) |
Enumeration Date | 2012-09-13 |
Last Update Date | 2018-04-10 |