NPI | 1629057567 |
---|---|
Former Name | SUSAN G STONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: IA J099839) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: IL 041206933) |
Enumeration Date | 2006-01-10 |
Last Update Date | 2011-03-18 |