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