| NPI | 1396176715 |
|---|---|
| Former Name | SUSAN DARLENE ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: WI 941000-30) |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2013-12-11 |