| NPI | 1548028483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE LI Nurse Practitioner 608-692-5828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2024-03-06 |