NPI | 1417182775 |
---|---|
Former Name | SUSAN MARIE FARAGHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ RN132650) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 552242) |
Enumeration Date | 2009-05-15 |
Last Update Date | 2009-05-15 |