NPI | 1497907406 |
---|---|
Former Name | KIMBERLY SUZANNE ANDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60039600) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00167980) |
Enumeration Date | 2008-10-21 |
Last Update Date | 2010-11-15 |