| NPI | 1114035656 |
|---|---|
| Former Name | MARCIA GOVE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 096006178N3) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30004275) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2020-09-28 |