| NPI | 1528833779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN WILLIAMS Owner, Nurse Practitioner 712-899-7901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-11-17 |
| Last Update Date | 2023-11-17 |