| NPI | 1922005651 |
|---|---|
| Former Name | SUSAN SEYDOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0000027-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0056543) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2019-04-16 |