| NPI | 1740821222 |
|---|---|
| Former Name | SUSAN CHARLOTTE POOLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP020909) |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2024-01-28 |