NPI | 1538795760 |
---|---|
Former Name | LUMI CAROLINE SHIMIZU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP61178922) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA WDL3BSPGF8SB) |
363L00000X Nurse Practitioner (Licence: WA AP61178922) | |
Enumeration Date | 2020-03-19 |
Last Update Date | 2021-07-14 |