NPI | 1821064262 |
---|---|
Former Name | SUZANNE ELIZABETH WARITZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP111716) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 685994) |
Enumeration Date | 2006-02-26 |
Last Update Date | 2023-02-27 |