| NPI | 1174751168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER D KEANE President 307-262-2467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: WY 16282) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2009-06-29 |