NPI | 1700199825 |
---|---|
Former Name | PATTI TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60194886) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00169601) |
Enumeration Date | 2010-07-18 |
Last Update Date | 2012-10-08 |