| NPI | 1568290476 |
|---|---|
| Former Name | SUZANNE MICHELLE CARR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 36847) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TN 249627) |
| Enumeration Date | 2024-07-23 |
| Last Update Date | 2024-08-27 |