NPI | 1679041404 |
---|---|
Former Name | CARA ANN MULLINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP60898966) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60898966) |
Enumeration Date | 2018-11-09 |
Last Update Date | 2020-12-07 |