| NPI | 1346848850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA KATHERINE ROAS Apn/Part Owner 501-303-8289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2020-10-16 |