NPI | 1558509943 |
---|---|
Former Name | VIRGINIA GERISE COWDEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP30004319) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30004319) |
Enumeration Date | 2009-01-23 |
Last Update Date | 2011-09-16 |