| NPI | 1255477196 |
|---|---|
| Former Name | SUSAN T LEVY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0100009-CNS) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: CO APN.0100009-CNS) |
| 363L00000X Nurse Practitioner (Licence: CO APN.0100009-CNS) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 309003290) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2018-01-12 |