NPI | 1760008908 |
---|---|
Former Name | TANYA MARSH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP61127888) |
Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: WA 60137227) |
Enumeration Date | 2020-06-23 |
Last Update Date | 2021-06-16 |