| NPI | 1336554393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE A BRUGMAN Owner 712-580-4570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A053063) |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2014-06-27 |