NPI | 1376743013 |
---|---|
Other Name | SUZANNE LISA DENNEHY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP00522) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM R27375) |
Enumeration Date | 2007-07-20 |
Last Update Date | 2011-08-23 |