| NPI | 1316518145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZA MARTIN Owner 206-715-7674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health |
| Enumeration Date | 2021-07-02 |
| Last Update Date | 2021-07-07 |