| NPI | 1437482650 |
|---|---|
| Former Name | SUQAN O TOLLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP125675) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP125625) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: GA rn132748) | |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2018-09-14 |