| NPI | 1255887717 |
|---|---|
| Former Name | SUSANNA ELYSE OSTERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP131935) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP131935) |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2021-11-05 |