NPI | 1053402248 |
---|---|
Former Name | THERESA MARIE STELTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30001944) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00093369) |
Enumeration Date | 2006-09-27 |
Last Update Date | 2015-12-29 |