NPI | 1376064352 |
---|---|
Former Name | LAURA MARIE DALLMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC1500X Registered Nurse Community Health (Licence: WA RN60484224) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: WA RN60484224) |
Enumeration Date | 2017-06-29 |
Last Update Date | 2017-06-29 |