NPI | 1760611750 |
---|---|
Former Name | SUZANNE CHRISTINE TAMMEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 227094) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 18660) |
Enumeration Date | 2009-07-10 |
Last Update Date | 2023-06-09 |