| NPI | 1104811033 |
|---|---|
| Former Name | SANDRA LEIGH FORSMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30005168) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA AP30005168) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP30005168) | |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2018-05-04 |