| NPI | 1740345651 |
|---|---|
| Former Name | BETTY LOUISE LOUISE DEW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30003601) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2007-07-08 |