NPI | 1154407179 |
---|---|
Former Name | IRENE GERALYN SCHOMUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30003498) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30003498) |
Enumeration Date | 2006-10-31 |
Last Update Date | 2013-06-12 |