NPI | 1033581764 |
---|---|
Professional Name | SUSAN D STOVALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TN 45107) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 45107) |
Enumeration Date | 2015-10-21 |
Last Update Date | 2015-10-21 |