NPI | 1720019094 |
---|---|
Former Name | MICHELE E. THORNTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP30003692) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00058280) |
363L00000X Nurse Practitioner (Licence: WA AP30003692) | |
Enumeration Date | 2006-07-05 |
Last Update Date | 2018-03-17 |