| NPI | 1750329884 |
|---|---|
| Former Name | SUSAN MARIE MICHOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5006243) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5006243) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2025-09-15 |