| NPI | 1487008157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY GILLUM Owner 501-580-6282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A00347) |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2016-04-19 |