NPI | 1497299689 |
---|---|
Former Name | SUZANNE SIU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 277000615) |
Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IL 277000615) |
Enumeration Date | 2016-12-07 |
Last Update Date | 2024-09-06 |