| NPI | 1144304775 |
|---|---|
| Other Name | CARLSON WILLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30006751) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA AP30006751) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2015-12-08 |