| NPI | 1215663497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LIM Office Manager 515-505-3598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2022-07-28 |
| Last Update Date | 2022-07-28 |