NPI | 1669614186 |
---|---|
Former Name | JUVANN M WOLFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30001133) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00058942) |
Enumeration Date | 2009-03-30 |
Last Update Date | 2012-05-10 |