NPI | 1104938398 |
---|---|
Former Name | ANGELA KIER JORDAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30005814) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP3000-5814) |
163W00000X Registered Nurse (Licence: WA RN00106792) | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2010-08-10 |