| NPI | 1568324739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY O LAFLORA Owner/ Nurse Practitioner 479-310-5245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-11-26 |
| Last Update Date | 2025-11-26 |