| NPI | 1720787203 |
|---|---|
| Former Name | SUSAN MERIE OAKLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 10005870) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 234974) |
| Enumeration Date | 2023-02-23 |
| Last Update Date | 2024-07-11 |