| NPI | 1417484254 |
|---|---|
| Former Name | SUSANNA DRAINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MA 2327944) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: RI APRN01685) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2024-08-13 |