| 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 |