NPI | 1750995643 |
---|---|
Entity Type | Organization |
Authorized Contact | DIANE GOETZ Owner 270-215-7744 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2020-09-08 |
Last Update Date | 2023-11-13 |