NPI | 1093843492 |
---|---|
Former Name | MOLLY ELIZABETH KIRKMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60978502) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60030525) |
363L00000X Nurse Practitioner (Licence: WA AP60978502) | |
Enumeration Date | 2007-02-28 |
Last Update Date | 2021-05-24 |