NPI | 1609124031 |
---|---|
Former Name | DENISE FRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60304923) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60304923) |
363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP60304923) | |
363LF0000X Nurse Practitioner, Family (Licence: WA AP60304923) | |
Enumeration Date | 2012-08-15 |
Last Update Date | 2024-08-22 |