| NPI | 1295788271 |
|---|---|
| Former Name | SUSAN J LONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SD CP000178) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SD R018015) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2022-04-18 |