| NPI | 1982712410 |
|---|---|
| Former Name | CHERRIE MAUREEN MIKEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP390003432) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00056735) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2011-05-31 |