NPI | 1679580278 |
---|---|
Former Name | HELEN BERNICE BOYD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 201021) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 201021) |
Enumeration Date | 2006-08-03 |
Last Update Date | 2016-10-31 |