| NPI | 1366409179 |
|---|---|
| Former Name | SUSAN ELAINE HITCHCOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000006679) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 6679) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2021-09-28 |