NPI | 1093792285 |
---|---|
Former Name | BETTY J CRAIG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30006706) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA RN00115014) |
363LF0000X Nurse Practitioner, Family (Licence: WA AP30006706) | |
Enumeration Date | 2005-12-28 |
Last Update Date | 2020-03-11 |