NPI | 1215985510 |
---|---|
Former Name | LESLIE JEAN VIETMEIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30073429) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30003429) |
163W00000X Registered Nurse (Licence: WA RN00086540) | |
363L00000X Nurse Practitioner (Licence: WA AP30073429) | |
Enumeration Date | 2006-05-05 |
Last Update Date | 2015-01-30 |