| NPI | 1346548419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA KAMPHUIS Owner 515-243-6309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: IA F-077227) |
| Enumeration Date | 2011-03-14 |
| Last Update Date | 2011-03-14 |