| NPI | 1356119242 |
|---|---|
| Former Name | SUZANNE MARISSA GOLDMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: CT 116479) |
| Enumeration Date | 2023-12-19 |
| Last Update Date | 2023-12-19 |