| NPI | 1952574642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA J. GROMKO Owner 206-281-7163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00023234) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30000010) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP30003193) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP30001206) | |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-02 |