NPI | 1316422991 |
---|---|
Former Name | TAMBER KRISTINA BOGGS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SD CP001459) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SD CP001459) |
Enumeration Date | 2018-09-28 |
Last Update Date | 2023-09-19 |