NPI | 1285267757 |
---|---|
Former Name | KAREN YOUNG SURVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61177739) |
Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: WA 60391026) |
Enumeration Date | 2020-02-12 |
Last Update Date | 2021-06-28 |