NPI | 1811148927 |
---|---|
Former Name | JULIE ANN WATTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV TAPN700470) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV TAPN700470) |
Enumeration Date | 2008-10-07 |
Last Update Date | 2011-01-28 |