NPI | 1821063892 |
---|---|
Former Name | CAROLE I SKURBECK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WA AP30001494) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30001494) |
Enumeration Date | 2006-02-22 |
Last Update Date | 2010-11-02 |