| NPI | 1548525637 |
|---|---|
| Former Name | DANA ELIZABETH HESTMARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60317796) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60173957) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2012-11-14 |