| NPI | 1689850687 |
|---|---|
| Former Name | TAMMY D. WOUDWYK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30006310) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA AP30006310) |
| Enumeration Date | 2008-01-21 |
| Last Update Date | 2011-03-03 |