| NPI | 1548549249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERIE BURKE Administrator 208-562-2707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: ID NP885A) |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2011-08-11 |