NPI | 1841063880 |
---|---|
Former Name | ALIX ELLISON JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP61498205) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60970769) |
Enumeration Date | 2023-11-01 |
Last Update Date | 2023-11-01 |