NPI | 1639765316 |
---|---|
Former Name | SAMANTHA RENEE MARIE HARMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61119245) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP6119245) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61119245) | |
Enumeration Date | 2020-12-16 |
Last Update Date | 2022-12-15 |