NPI | 1679667026 |
---|---|
Former Name | KIRSTEN G IVERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60940473) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: WA CH00034650) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2025-03-11 |