| NPI | 1366886301 |
|---|---|
| Former Name | SUSAN DEVITO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 005321) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 5321) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2022-09-11 |