NPI | 1356417083 |
---|---|
Former Name | CARI LEE WIDMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV APRN001249) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00141403) |
363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP30007511) | |
Enumeration Date | 2006-11-27 |
Last Update Date | 2018-11-07 |