NPI | 1376884395 |
---|---|
Former Name | MARY JUDITH KUZMICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60900746) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60768283) |
Enumeration Date | 2013-03-15 |
Last Update Date | 2022-09-10 |