| NPI | 1073804670 |
|---|---|
| Former Name | SUZETTA NASH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OK 6674) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 056112-1) |
| 122300000X Dentist (Licence: TX 30531) | |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2015-02-17 |