| NPI | 1437650751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY GISI-YORK Owner 605-881-0432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2019-06-24 |