| NPI | 1801889498 |
|---|---|
| Former Name | SUSAN MARIE CHANCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A074307) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT 36832) |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2024-03-25 |