NPI | 1306314901 |
---|---|
Former Name | ABIGAYLE MARION ROSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60914159) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60914159) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 25163) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP60914159) | |
Enumeration Date | 2018-11-13 |
Last Update Date | 2025-09-24 |