NPI | 1235517749 |
---|---|
Former Name | NATALIE AVA SORENSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60593750) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60593750) |
Enumeration Date | 2015-05-16 |
Last Update Date | 2020-12-07 |