NPI | 1215702329 |
---|---|
Former Name | ERIN MICHELLE TATE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN00136343) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: WA RN00136343) |
Enumeration Date | 2023-11-17 |
Last Update Date | 2023-11-20 |