NPI | 1023642261 |
---|---|
Former Name | JULIA CAROLYN BOKMA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61083174) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60233778) |
Enumeration Date | 2020-02-26 |
Last Update Date | 2022-01-18 |