NPI | 1487401915 |
---|---|
Former Name | ANNABETH GUZMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61568910) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60854203) |
Enumeration Date | 2024-05-02 |
Last Update Date | 2024-08-09 |