| NPI | 1699008680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN SUZANNE DEANE Agent 206-550-1819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA ap30006919) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2012-04-24 |