| NPI | 1922857192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH SHEVINS Member Manager 425-765-5249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-05-18 |
| Last Update Date | 2024-05-18 |