| NPI | 1508369778 |
|---|---|
| Former Name | MONICA ELIZABETH SUFAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007910) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: IN 28171959A) |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2024-04-19 |