NPI | 1285712208 |
---|---|
Professional Name | SUZETTE RUSH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 20901005) |
Additional Taxonomies | 103T00000X Psychologist (Licence: IL 071004832) |
103T00000X Psychologist (Licence: IN 20040839A) | |
Enumeration Date | 2006-11-01 |
Last Update Date | 2022-04-28 |