NPI | 1326532201 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIZABETH A SHARP-MARSDEN Owner 208-313-7900 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 53940) |
Enumeration Date | 2018-06-14 |
Last Update Date | 2019-03-06 |