| NPI | 1821871849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISABELLA SAPERSTON Authorized Official 253-367-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2025-12-15 |