NPI | 1003009135 |
---|---|
Former Name | RITA A MARINKOVICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP30007853) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30007853) |
Enumeration Date | 2007-08-22 |
Last Update Date | 2024-09-05 |