| NPI | 1174573893 |
|---|---|
| Former Name | JANET TAWLKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP30001340) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00044191) |
| 363L00000X Nurse Practitioner (Licence: WA AP30001340) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2011-04-05 |