| NPI | 1467697813 |
|---|---|
| Former Name | SANDRA LEE KANAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60041694) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00168186) |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2019-01-03 |