| NPI | 1659683597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANINE LOUISE GLOVER Owner/Member 307-234-2269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse Registered Nurse First Assistant |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2010-07-08 |