NPI | 1306322862 |
---|---|
Former Name | AGNES RODRIGUES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61439019) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61438946) |
163W00000X Registered Nurse (Licence: CA 95152450) | |
363LF0000X Nurse Practitioner, Family (Licence: CA 95022466) | |
Enumeration Date | 2018-07-17 |
Last Update Date | 2023-10-21 |