| NPI | 1992733240 |
|---|---|
| Former Name | MARY SUSAN WATTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71000080A) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IN 28090755A) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2020-12-21 |