NPI | 1649496472 |
---|---|
Former Name | SUSAN ELIZABETH LEVITT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP8469) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 8469) |
Enumeration Date | 2007-04-18 |
Last Update Date | 2025-05-28 |