NPI | 1346714177 |
---|---|
Former Name | HAILEY ELIZABETH BOBIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61233791) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60868157) |
Enumeration Date | 2019-01-15 |
Last Update Date | 2023-03-30 |