| NPI | 1396117685 |
|---|---|
| Former Name | SUSAN BERRIDGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 20612) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 21381) |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2015-10-26 |