| NPI | 1417590365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOY RAMSUMEER Owner 509-430-9813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2019-10-23 |