| NPI | 1770885220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA MUTH President 414-840-9817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WI 1167) |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: WI 14469) |
| Enumeration Date | 2010-12-03 |
| Last Update Date | 2016-01-06 |