NPI | 1740312057 |
---|---|
Former Name | SHANNON MOJICA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: WA AP60652210) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: WA RN60170208) |
225700000X Massage Therapist (Licence: WA MA00022115) | |
363L00000X Nurse Practitioner (Licence: WA AP60652210) | |
Enumeration Date | 2007-03-12 |
Last Update Date | 2021-04-26 |