| NPI | 1063735231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOBOMABO LAWSON Manager 425-744-1360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30005132) |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2014-12-02 |