| NPI | 1831397751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMI RIHA Billing Manager 712-352-0653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A-117058) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2020-08-22 |