| NPI | 1013020429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH RUPAE Member 360-891-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30005854) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2008-04-24 |