| NPI | 1558315606 |
|---|---|
| Former Name | SUZANNE MARY OKOLITA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 3558) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085-002599) |
| 363AS0400X Physician Assistant, Surgical (Licence: AZ 3558) | |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2023-08-24 |