NPI | 1972053650 |
---|---|
Former Name | ANNE MARIE TESTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60695737) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: WA RN60259289) |
363LF0000X Nurse Practitioner, Family (Licence: WA AP60695737) | |
Enumeration Date | 2016-10-06 |
Last Update Date | 2019-12-11 |