NPI | 1588830582 |
---|---|
Former Name | BELINDA JEAN KING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-154046) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA RN095672) |
Enumeration Date | 2008-04-30 |
Last Update Date | 2016-04-26 |