| NPI | 1003349465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL VATTER Sole Member 307-413-6424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: WY 29304) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2017-04-04 |