| NPI | 1467987834 |
|---|---|
| Former Name | SUSAN L GILMARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024175618) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NH 061597-21) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 061597-23) | |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2020-07-14 |