| NPI | 1023407715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY JEAN BAIN Pediatric Nurse Practitioner 425-651-4044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60455433) |
| Enumeration Date | 2015-01-18 |
| Last Update Date | 2015-01-18 |