| 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 |