NPI | 1639109747 |
---|---|
Former Name | TERRY LEE SURMA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NH 071618-23) |
Enumeration Date | 2006-07-04 |
Last Update Date | 2022-05-19 |