NPI | 1669170650 |
---|---|
Former Name | SUZETTE MARY NAQUIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 229408) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 869342) |
363LF0000X Nurse Practitioner, Family (Licence: MS 905805) | |
Enumeration Date | 2023-02-20 |
Last Update Date | 2024-03-12 |