| NPI | 1225459852 |
|---|---|
| Former Name | SUEANNE ELIZABETH FRATAMICO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL TPAN1807) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 2732) |
| 363L00000X Nurse Practitioner (Licence: TX AP125253) | |
| Enumeration Date | 2013-12-27 |
| Last Update Date | 2024-04-24 |