NPI | 1740603307 |
---|---|
Former Name | KARLA SILVESTRE CHANEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60446757) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60446757) |
363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP60446757) | |
Enumeration Date | 2014-01-31 |
Last Update Date | 2019-01-07 |