NPI | 1083193338 |
---|---|
Former Name | SUZANNA LINDSAY DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 27487) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 195485) |
363LF0000X Nurse Practitioner Family (Licence: MS 904499) | |
Enumeration Date | 2018-08-08 |
Last Update Date | 2021-03-16 |