| NPI | 1447704705 |
|---|---|
| Former Name | SUSAN ALANNA MCKENNA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 12.006624) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 12.006624) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2023-08-31 |