| NPI | 1881044758 |
|---|---|
| Former Name | SUZZETTE A MOSOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174534) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN192249) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2021-11-30 |