NPI | 1194713297 |
---|---|
Former Name | JOYCE R BOSWORTH LINGERFELT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW00004629) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30000029) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP30000029) | |
Enumeration Date | 2005-10-12 |
Last Update Date | 2007-07-08 |