| NPI | 1730500430 |
|---|---|
| Former Name | SUSAN MICHELLE SLAWSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 22668) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3011567) |
| Enumeration Date | 2013-12-23 |
| Last Update Date | 2020-12-16 |