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 |