| NPI | 1689042202 |
|---|---|
| Former Name | SUSAN ELLEN GAYK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: CO C-APN.000352-C-NP) |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2015-09-14 |