| NPI | 1225387350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL SUHR Owner/Nurse Practitioner 208-371-7046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: ID NP-1150A) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2012-09-05 |