| NPI | 1336790419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADINE V GOELZ Owner 888-322-6432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2019-09-20 |