NPI | 1760674196 |
---|---|
Former Name | SUSAN BRYCE SARCONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 147774) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: KS 46073) |
Enumeration Date | 2007-08-09 |
Last Update Date | 2025-06-24 |