NPI | 1437453685 |
---|---|
Former Name | SUSAN PATRICIA NIEHOFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024176505) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024176505) |
Enumeration Date | 2011-01-03 |
Last Update Date | 2023-11-27 |