NPI | 1902271349 |
---|---|
Former Name | ALISON BOUSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60608127) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60608127) |
Enumeration Date | 2015-12-10 |
Last Update Date | 2021-12-06 |