| NPI | 1396683017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALMA JAMA MOHAMUD Owner 320-282-1802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2026-03-23 |
| Last Update Date | 2026-03-23 |