| NPI | 1902342520 |
|---|---|
| Former Name | SUSAN LYNN GLADOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AK 140643) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: SC 20715) |
| Enumeration Date | 2017-01-07 |
| Last Update Date | 2019-11-06 |