| 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 |