NPI | 1578556320 |
---|---|
Former Name | ROBIN L DEFFENBAUGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP30005730) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00121408) |
Enumeration Date | 2005-08-26 |
Last Update Date | 2009-12-18 |