363LX0001X
Bellevue, WA
Specialty
363LX0001X
Credential
MN, ARNP, CNM
NPI
1740461458
11511 Ne 10th St, Bellevue, WA 98004
(425) 774-1538Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 363lx0001x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 363LX0001X