NPI | 1942538764 |
---|---|
Former Name | SUSAN MARIE DITTMEYER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NV RN14237) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.187363) |
Enumeration Date | 2009-12-07 |
Last Update Date | 2009-12-07 |