| NPI | 1558474783 |
|---|---|
| Former Name | SUSAN COHAN WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN069109) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R837449) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-04-09 |