NPI | 1770543597 |
---|---|
Former Name | SUZANNE KELLEY-FUENFHAUSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: MO 095398) |
Enumeration Date | 2006-03-24 |
Last Update Date | 2011-12-13 |