| NPI | 1316967144 |
|---|---|
| Former Name | SUSAN HELEN MIRANDA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN APN 0000006292) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TN RN 0000077907) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2023-03-07 |