NPI | 1922262203 |
---|---|
Former Name | HEATHER LEE WANZEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60023685) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60023480) |
Enumeration Date | 2008-07-15 |
Last Update Date | 2011-03-07 |