| NPI | 1962730507 |
|---|---|
| Former Name | SUZANNE MARIE HEYNOSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP010571) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN561265) |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2009-11-19 |