| NPI | 1639354681 |
|---|---|
| Former Name | SUSAN R COUGHENOUR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP009680) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP009680) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2024-09-13 |