| 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 |