| NPI | 1073857819 |
|---|---|
| Former Name | ASPEN CLAIRE LARIVIERE-TATE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60319982) |
| Enumeration Date | 2012-11-17 |
| Last Update Date | 2014-12-10 |