| NPI | 1801391750 |
|---|---|
| Former Name | SUZANNE MARIE RESIDORI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 993276) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0993276-NP) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2021-12-22 |