NPI | 1346874682 |
---|---|
Former Name | JULIA VALICOFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61058579) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60341406) |
Enumeration Date | 2020-02-25 |
Last Update Date | 2024-01-31 |