NPI | 1295229821 |
---|---|
Former Name | JENNIFER VERNELSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN60234819) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: WA RN60234819) |
Enumeration Date | 2018-06-18 |
Last Update Date | 2019-05-20 |