NPI | 1245075209 |
---|---|
Former Legal Business Name | ROTHER WELLNESS, LLC |
Entity Type | Organization |
Authorized Contact | KARENA ROTHER President 612-503-2159 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2024-07-01 |
Last Update Date | 2024-07-01 |