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 |