NPI | 1932479714 |
---|---|
Former Name | SUSAN RASMUSSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60249845) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60249845) |
363LC1500X Nurse Practitioner, Community Health (Licence: WA AP60249845) | |
Enumeration Date | 2012-01-10 |
Last Update Date | 2015-06-09 |