| NPI | 1144258906 |
|---|---|
| Former Name | MARILYN PAYNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30006900) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA RN00157499) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2015-03-16 |