NPI | 1962495929 |
---|---|
Former Name | CAROLYN MARY FREED-ALBEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30005645) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00112300) |
Enumeration Date | 2005-08-25 |
Last Update Date | 2022-06-27 |