NPI | 1396118469 |
---|---|
Former Name | KERRY LEE BOWDEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60605300) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 202011163NP-PP) |
Enumeration Date | 2015-11-11 |
Last Update Date | 2023-05-26 |