| NPI | 1194363416 |
|---|---|
| Former Name | SHOSHANA ELISE DICKERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: WA AP61352551) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60967512) |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2024-01-05 |