| NPI | 1043217755 |
|---|---|
| Former Name | SUSAN ELAINE ERB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ 3931) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA NP FURNISHING 12516) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2018-08-03 |