| NPI | 1972707255 |
|---|---|
| Former Name | MARLA ELAINE SAMPLE FARMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN095303 AP570) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30002445) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2012-10-15 |