NPI | 1104346097 |
---|---|
Other Name | LEA JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN00110931) |
Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: WA L-83604) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2017-06-22 |
Last Update Date | 2017-06-22 |