NPI | 1720879125 |
---|---|
Former Name | MICHELE VASQUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP70020295) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: WA RN60261697) |
Enumeration Date | 2025-05-14 |
Last Update Date | 2025-07-25 |