| NPI | 1962285528 |
|---|---|
| Former Name | SUZANNA MCGUIRE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5018636) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024187899) |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2023-11-02 |