NPI | 1922521236 |
---|---|
Former Name | SUSAN MARIE WRIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP1302) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00731300) |
Enumeration Date | 2017-07-18 |
Last Update Date | 2023-11-27 |