NPI | 1003293069 |
---|---|
Former Name | LIANE FERNYHOUGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60686042) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 2299273) |
Enumeration Date | 2015-04-29 |
Last Update Date | 2019-12-18 |