NPI | 1083238745 |
---|---|
Former Name | KATHERINE EVERED |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61177342) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60756278) |
Enumeration Date | 2020-05-29 |
Last Update Date | 2023-01-17 |