| NPI | 1215615661 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61474385) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN61087769) |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2023-08-15 |