| NPI | 1700192150 |
|---|---|
| Former Name | PAMALLA MANZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60270264) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60270264) |
| 363LC1500X Nurse Practitioner, Community Health (Licence: WA AP60270264) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60270264) | |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2014-01-24 |