| NPI | 1538110184 |
|---|---|
| Former Name | SUSAN MARIE SCHAFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IN 280446620A) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71001663A) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2024-06-01 |