| NPI | 1891736518 |
|---|---|
| Former Name | SUSAN COUGHLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209000752) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 041263936) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11029190) | |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2024-01-10 |