| NPI | 1255608238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDA JOANNE MARICLE-KUWAHARA Executive Director 208-392-4544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2011-11-19 |
| Last Update Date | 2011-11-19 |