NPI | 1861724379 |
---|---|
Former Name | MEGAN LORRAINE SUTTERER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F337360) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 567348-1) |
Enumeration Date | 2010-02-08 |
Last Update Date | 2015-07-25 |