| NPI | 1043391436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN C ARNOLD Owner 228-875-3606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MS R854239) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-05 |