| NPI | 1669274486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETCHEN LAWSON Nurse Practitioner/Owner 980-430-3130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-03-24 |
| Last Update Date | 2025-03-24 |