NPI | 1487658316 |
---|---|
Other Name | SUSAN M STEAD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN9395706) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9395706) |
Enumeration Date | 2005-06-09 |
Last Update Date | 2022-01-31 |