NPI | 1508809641 |
---|---|
Former Name | ROBERTA L. BOHN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30001972) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00056994) |
163W00000X Registered Nurse (Licence: ID N29293) | |
363L00000X Nurse Practitioner (Licence: ID NP472A) | |
Enumeration Date | 2006-06-14 |
Last Update Date | 2023-03-07 |