NPI | 1013299197 |
---|---|
Former Name | SIRITHEPPHAVANH S. VONGSIKEO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP60518948) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60518948) |
Enumeration Date | 2011-09-14 |
Last Update Date | 2023-05-02 |