| NPI | 1942287636 |
|---|---|
| Former Name | SUSAN E TIMMERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 115599) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 309527) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 1696) | |
| 163W00000X Registered Nurse (Licence: AK 115598) | |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2016-12-07 |