NPI | 1033645049 |
---|---|
Former Name | DONNA RACHAEL BANET BEAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60767026) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60767026) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2024-02-28 |