NPI | 1073500260 |
---|---|
Former Name | LININA M JOB, RAGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30007101) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00128186) |
Enumeration Date | 2005-10-03 |
Last Update Date | 2018-03-26 |