NPI | 1023114758 |
---|---|
Former Name | PATRICIA LEA CUNNINGTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP3-0004103) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI NP329A) |
Enumeration Date | 2006-09-16 |
Last Update Date | 2007-07-08 |