NPI | 1841296886 |
---|---|
Former Name | DENISE MARIE FOURNIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30006956) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN00158414) |
Enumeration Date | 2005-06-23 |
Last Update Date | 2007-07-08 |