NPI | 1326580978 |
---|---|
Former Name | KATIE GALLAGHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60681423) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP60681423) |
Enumeration Date | 2016-11-14 |
Last Update Date | 2017-11-02 |