NPI | 1609464676 |
---|---|
Former Name | VALERIE LYBYER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 237392) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61100482) |
Enumeration Date | 2021-01-06 |
Last Update Date | 2024-12-09 |