| NPI | 1487778510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY M LARSEN Office Manager 360-671-7442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP30003413) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2008-08-20 |