NPI | 1750618997 |
---|---|
Former Name | SUSAN MEYER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 5262-033) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 121054-30) |
363LP2300X Nurse Practitioner, Primary Care (Licence: WI 5262-33) | |
364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: WI 5262-33) | |
Enumeration Date | 2009-11-09 |
Last Update Date | 2023-03-27 |