| NPI | 1699803692 |
|---|---|
| Former Name | SUSAN MARIE BRILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.12685) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: OH RN 315915) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2021-02-09 |