| NPI | 1548300684 |
|---|---|
| Former Name | SUSAN MARIE JIMENEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9228497) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP 9228497) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2010-12-01 |