NPI | 1073824314 |
---|---|
Former Name | SUZANNE MARIE WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003293A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28156702A) |
Enumeration Date | 2010-07-01 |
Last Update Date | 2023-09-20 |