NPI | 1962510248 |
---|---|
Former Name | CARISSA A. ANUAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60647411) |
Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: WA AP60647411) |
363LF0000X Nurse Practitioner, Family (Licence: WA AP60647411) | |
Enumeration Date | 2006-08-28 |
Last Update Date | 2025-09-29 |