| NPI | 1396259289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISE V. MARTIN Founder 206-485-4364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60321470) |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2020-10-20 |