| NPI | 1598964470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE GIGI HARDTKE Part Owner 253-212-0093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30006122) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2007-07-12 |