NPI | 1821243007 |
---|---|
Former Name | SUSAN ALLISON LOUGHLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 059845-23) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2295923) |
Enumeration Date | 2008-12-01 |
Last Update Date | 2019-05-07 |