| NPI | 1982812970 |
|---|---|
| Former Name | SUSAN P CONRAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: KY 3006614) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3006614) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-10-13 |