NPI | 1962510248 |
---|---|
Former Name | CARISSA A. ANUAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60647411) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60617269) |
363L00000X Nurse Practitioner (Licence: TX 670495) | |
363L00000X Nurse Practitioner (Licence: WA AP60647411) | |
Enumeration Date | 2006-08-28 |
Last Update Date | 2023-11-09 |