| NPI | 1689148942 |
|---|---|
| Former Name | VANESSA ANN SUCAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11000103) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11000103) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11000103) | |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2020-09-15 |