NPI | 1477596781 |
---|---|
Former Name | REBECCA EWING ALLEN-DEVORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30007324) |
Additional Taxonomies | 103T00000X Psychologist (Licence: WA PSY00001087) |
163W00000X Registered Nurse (Licence: WA RN00147621) | |
Enumeration Date | 2006-06-14 |
Last Update Date | 2015-09-22 |