NPI | 1538649157 |
---|---|
Former Name | SUZANNE PATRICE MESSADO -WEDDERBURN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9293797) |
Enumeration Date | 2018-08-14 |
Last Update Date | 2021-03-03 |