NPI | 1326126186 |
---|---|
Former Name | MONICA WILKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: WA AP30003764) |
Additional Taxonomies | 163WN0800X Registered Nurse Neuroscience (Licence: WA RN00086584) |
163WR0006X Registered Nurse Registered Nurse First Assistant (Licence: WA RN00086584) | |
Enumeration Date | 2006-11-01 |
Last Update Date | 2020-12-07 |