NPI | 1023694908 |
---|---|
Professional Name | BEHAUDEN OMER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61237807) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00172133) |
Enumeration Date | 2021-03-22 |
Last Update Date | 2021-12-23 |