| NPI | 1366719718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA K HAM Nurse Practitioner Owner 307-684-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WY 23899-0963) |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2011-11-29 |