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 |