| NPI | 1801343264 |
|---|---|
| Former Name | JESSICA LYNN SALAH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60865039) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP60865039) |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2021-01-15 |