NPI | 1811388325 |
---|---|
Former Name | VICKI LYNN CLAVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60477357) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60477357) |
363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP60477357) | |
Enumeration Date | 2015-02-05 |
Last Update Date | 2023-08-30 |