NPI | 1689882573 |
---|---|
Former Name | SUSAN MARKLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 5118) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 77001) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2014-06-12 |