NPI | 1316325400 |
---|---|
Other Name | SUZANNE MAKOUL-MEDINA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP014865) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP014865) |
Enumeration Date | 2015-05-11 |
Last Update Date | 2016-09-09 |