| NPI | 1538566872 |
|---|---|
| Former Name | SUSAN L KRUSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP014639) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN309947L) |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2015-08-11 |