NPI | 1316354343 |
---|---|
Former Name | KAREN LYNN DEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60511403) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201406709NP-PP) |
Enumeration Date | 2014-07-22 |
Last Update Date | 2016-08-01 |