| NPI | 1093536609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA CLAIRE CHALIGOJ Nurse Practioner 479-685-9809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-10-17 |
| Last Update Date | 2024-10-17 |