NPI | 1609146471 |
---|---|
Former Name | MYRA ANNE MORRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60261877) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60119686) |
Enumeration Date | 2012-01-10 |
Last Update Date | 2012-01-10 |