| NPI | 1184983488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH CAMERON Owner 208-589-2365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: ID NP676A) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: ID LCSWO1103) |
| 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: ID NP676A) | |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2012-05-08 |