| NPI | 1831827310 |
|---|---|
| Former Legal Business Name | EROS HEALTH |
| Entity Type | Organization |
| Authorized Contact | JENNIFER JEAN MIMISH Owner, Nurse Practitioner 208-559-6494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2022-08-22 |