NPI | 1700818309 |
---|---|
Former Name | JAIME D. WILEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: WA AP300006728) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00129892) |
Enumeration Date | 2006-07-06 |
Last Update Date | 2009-02-04 |