| 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, Psych/Mental Health (Licence: IL 277000615) |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2024-09-06 |