NPI | 1306613310 |
---|---|
Former Name | ANNE MCCAMPBELL DOMONOSKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: WA RN60747318) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60747318) |
Enumeration Date | 2023-12-08 |
Last Update Date | 2023-12-08 |