| NPI | 1578808465 |
|---|---|
| Former Name | LISA A DUNHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60282467) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: WA AP60282467) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60282467) | |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2023-09-25 |