NPI | 1689034241 |
---|---|
Former Name | RACHEL FUJIMOTO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 106119) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 104403) |
163W00000X Registered Nurse (Licence: WA RN60223753) | |
Enumeration Date | 2016-02-25 |
Last Update Date | 2016-02-25 |