| NPI | 1477893105 |
|---|---|
| Former Name | SUSAN LYNNE BARR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704256515) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024164425) |
| Enumeration Date | 2013-02-16 |
| Last Update Date | 2013-02-16 |