NPI | 1235686304 |
---|---|
Former Name | KATHRYN RIEGER DONAIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60654137) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60492666) |
Enumeration Date | 2016-09-07 |
Last Update Date | 2021-09-13 |