NPI | 1407302417 |
---|---|
Former Name | AISHA W KHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60703927) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60703927) |
Enumeration Date | 2016-08-30 |
Last Update Date | 2020-03-26 |