| NPI | 1336458975 |
|---|---|
| Former Name | SUSAN LYNN MARTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP011177) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024169020) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2015-08-19 |