| NPI | 1699159962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE ANIA PERSON President 414-543-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 3110-33) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2016-03-22 |