| NPI | 1407883002 |
|---|---|
| Former Name | STACEY ANN CUMMINGS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30005387) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00119966) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2013-10-22 |