| NPI | 1215516992 |
|---|---|
| Other Name | SUSSANA MBI ETAROCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1023717) |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2021-04-07 |