| NPI | 1184021198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASZANI STODDARD Owner 612-356-4072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2016-11-09 |