| NPI | 1811900400 |
|---|---|
| Former Name | SUSAN ANN ADELI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209-001655) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041-277401) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2012-02-07 |