NPI | 1598123036 |
---|---|
Former Name | SUSAN M MITCHELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: FL APRN11001441) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11001441) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 065254-23) | |
Enumeration Date | 2016-01-28 |
Last Update Date | 2025-04-18 |