| NPI | 1538382379 |
|---|---|
| Former Name | BRENDA SUSAN SUTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 091216) |
| Additional Taxonomies | 163WA2000X Registered Nurse Administrator (Licence: TX 520624) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-07-08 |