NPI | 1518435254 |
---|---|
Former Name | EMILY RAE NESS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN60156395) |
Additional Taxonomies | 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: WA RN60156395) |
Enumeration Date | 2018-11-12 |
Last Update Date | 2018-12-19 |