NPI | 1821715509 |
---|---|
Former Name | SHANTELLE ALICIA HILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP61538886) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: WA RN60850819) |
Enumeration Date | 2022-10-24 |
Last Update Date | 2024-10-30 |