| NPI | 1447032594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANDISS INMAN Nurse Practitioner/Owner 208-780-9295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health |
| Enumeration Date | 2023-10-13 |
| Last Update Date | 2024-05-19 |