| NPI | 1740562420 |
|---|---|
| Former Name | COURTNEY MARIE PLITT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 62514) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AD60233492) |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2019-10-02 |