NPI | 1952342925 |
---|---|
Former Name | SUSANNE BOATMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA NP10116) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 10116) |
363L00000X Nurse Practitioner (Licence: CA NP10116) | |
Enumeration Date | 2006-06-09 |
Last Update Date | 2023-02-26 |