| NPI | 1619922036 |
|---|---|
| Former Name | TOBE LYNNE STANDLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KS 53444521-012) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KS 74579) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KS 53-74579-012) | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2015-05-20 |