| NPI | 1003271057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISTY MOLINA Owner 253-376-9070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WA AP60424955) |
| Additional Taxonomies | 364SW0102X Clinical Nurse Specialist, Women's Health (Licence: WA CNM1646) |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2015-12-17 |