| NPI | 1609230887 |
|---|---|
| Former Name | SUZANNE LASSANDRELLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209-013539) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.013539) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2025-10-13 |