NPI | 1629464292 |
---|---|
Former Name | JULIE DECARO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60573463) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00152601) |
363L00000X Nurse Practitioner (Licence: WA RN00152601) | |
363LF0000X Nurse Practitioner, Family (Licence: WA AP60573463) | |
Enumeration Date | 2015-04-10 |
Last Update Date | 2023-05-15 |