NPI | 1154885259 |
---|---|
Former Name | PAMELA WARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61366115) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60654286) |
Enumeration Date | 2019-01-23 |
Last Update Date | 2023-08-24 |