| NPI | 1689733032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH A GROSE Owner 509-469-1903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30006768) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2010-08-09 |