NPI | 1295013928 |
---|---|
Former Name | SUSAN JENNIFER SAWYER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 20964) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 566918) |
Enumeration Date | 2011-07-29 |
Last Update Date | 2012-02-05 |