| NPI | 1609256908 |
|---|---|
| Former Name | SUSAN HAVERLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9353130) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F339384) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2025-07-29 |