| NPI | 1427201680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LURA K ROBISON Provider 406-925-3794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care (Licence: MT 8413) |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2014-03-20 |