| NPI | 1366872731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIKA FISCHER-MASSIE Executive Director 479-444-7548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2015-07-27 |