| NPI | 1699251827 |
|---|---|
| Former Name | SUSAN ELIZABETH SLOCUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 6035) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2455378) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2019-01-09 |