| NPI | 1275697625 |
|---|---|
| Former Name | SUSAN EVELYN COLLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: SC APN.1440RX) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: CA LC#######) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2015-04-22 |