| NPI | 1376741082 |
|---|---|
| Former Name | SUZANNE MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: UT 3095240-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 3095240-4405) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2022-12-08 |