| NPI | 1518143106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE LIDDELOW-THOMPSON Owner/President 907-336-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 411) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2008-04-22 |