NPI | 1417479429 |
---|---|
Former Name | JENNIFER DALTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP60765737) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60765737) |
Enumeration Date | 2017-07-11 |
Last Update Date | 2024-06-27 |