NPI | 1174711840 |
---|---|
Former Name | GARNETH E. ALTENA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SD Temporary - CNP App) |
Enumeration Date | 2007-10-09 |
Last Update Date | 2018-10-11 |