NPI | 1588804686 |
---|---|
Former Name | THERESA NAOMI SUTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN03228) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA RN284223) |
363LF0000X Nurse Practitioner Family (Licence: PA SP010165) | |
Enumeration Date | 2009-03-02 |
Last Update Date | 2023-02-08 |