| NPI | 1427192004 |
|---|---|
| Former Name | SUZANNE MARIE CARPENTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TN APN16009) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 178318) |
| 363LF0000X Nurse Practitioner Family (Licence: TN APN16009) | |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2022-11-02 |