NPI | 1679688030 |
---|---|
Entity Type | Organization |
Authorized Contact | SEAN F LYNN President 208-467-6666 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health |
Enumeration Date | 2006-08-19 |
Last Update Date | 2007-09-10 |