NPI | 1477967016 |
---|---|
Former Name | ALICIA J GAMRATH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60486240) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60366191) |
Enumeration Date | 2014-06-11 |
Last Update Date | 2020-01-31 |