| NPI | 1265809891 |
|---|---|
| Former Name | BRENDA L SURBER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 598651) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: NY 158651) |
| 163WS0200X Registered Nurse, School (Licence: NY 598651) | |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2017-06-05 |