| NPI | 1750407383 |
|---|---|
| Former Name | SUSAN JEAN BURK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: AZ RN170031) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CO 99392) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2013-11-25 |