NPI | 1265788251 |
---|---|
Former Name | MARLA N. SUTHERLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP06630) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA RN080053-AP06630) |
363LF0000X Nurse Practitioner, Family (Licence: MS R823883) | |
Enumeration Date | 2012-07-27 |
Last Update Date | 2021-05-13 |