NPI | 1366948663 |
---|---|
Former Name | HOLLY STURZENBECHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SD CP001610) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: SD R034644) |
Enumeration Date | 2018-04-04 |
Last Update Date | 2019-08-07 |