| NPI | 1386952919 |
|---|---|
| Former Name | SUSAN VANBUREN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: CA 1127) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 279839) |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2010-09-16 |