363LA2100X
Bellevue, WA
Specialty
363LA2100X
Credential
DNP, ACNPC-BC
NPI
1124281928
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 363la2100x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 363LA2100X