| NPI | 1073080313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN SCHOTT President 208-505-1179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2023-07-29 |