| NPI | 1679667026 |
|---|---|
| Former Name | KIRSTEN G IVERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00034650) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60940473) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2019-11-18 |