| NPI | 1528288222 |
|---|---|
| Former Name | SUSAN KAREN ERKENBRACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5005143) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 242852) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2015-10-26 |