| NPI | 1629334651 |
|---|---|
| Former Name | SUSAN LYNETTE LORDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID N-45447) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ TAP4415) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2015-01-07 |