| NPI | 1346623048 |
|---|---|
| Former Name | JESSICA RENAE KOSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60573932) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO61324263) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2022-06-29 |