NPI | 1265982441 |
---|---|
Former Name | MOIRA DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61084256) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60370963) |
Enumeration Date | 2016-10-11 |
Last Update Date | 2022-11-12 |