NPI | 1376596361 |
---|---|
Former Name | NAOMI JEAN SYNSTEGARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60396767) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA S-088067) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2013-08-29 |