| NPI | 1013522580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUNA IBRAHIM OSMAN A RN P 253-766-1161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LG0600X Nurse Practitioner, Gerontology | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2025-07-28 |