NPI | 1700228152 |
---|---|
Former Name | JULIE CHRISTINE MALVEDA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60396765) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60389635) |
Enumeration Date | 2013-07-26 |
Last Update Date | 2013-07-26 |