| NPI | 1508900895 |
|---|---|
| Former Name | SUSAN ELIZABETH WHITCOMB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP2204242) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2007-07-08 |