NPI | 1770545774 |
---|---|
Former Name | SUSAN M ADAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: ME 58515) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MA 169450) |
Enumeration Date | 2006-04-05 |
Last Update Date | 2022-08-24 |