| NPI | 1508155136 | 
|---|---|
| Former Name | SUSIE K COPELAND | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3006841) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3006841) | 
| Enumeration Date | 2011-04-05 | 
| Last Update Date | 2025-05-08 |