| NPI | 1720574254 |
|---|---|
| Former Name | SUSAN GAYLE ESTEP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN57336) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WV F10171032) |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2018-10-16 |