NPI | 1720084676 |
---|---|
Former Name | LINDA SUSAN STARCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30004712) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP30004712) |
Enumeration Date | 2005-06-24 |
Last Update Date | 2016-08-06 |