| 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 |