| NPI | 1356521868 |
|---|---|
| Former Name | JESSICA MARIE SUSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN165793) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN165793) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2021-11-17 |