NPI | 1447497003 |
---|---|
Former Name | STEPHANIE M SUTTMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3012254) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 09768-NP) |
Enumeration Date | 2009-01-19 |
Last Update Date | 2020-10-01 |