| NPI | 1902189558 |
|---|---|
| Former Name | ELIZABETH JANE NEWKIRK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30003924) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00083158) |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2021-04-29 |