| NPI | 1366853251 |
|---|---|
| Former Name | SUSAN V. LINDSTROM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: RI PPNS00121) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN18914) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2014-06-05 |