NPI | 1730154279 |
---|---|
Former Name | TONIA SPAULDING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60482269) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 702616) |
363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60482269) | |
363LF0000X Nurse Practitioner, Family (Licence: WA AP60482269) | |
Enumeration Date | 2006-02-20 |
Last Update Date | 2014-08-19 |