| NPI | 1306377262 |
|---|---|
| Former Name | MARY GRACE BRUMMITT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60786827) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA RN60668158) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2024-04-30 |