| NPI | 1871734293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA JUNE ZAJANC Owner Nurse Practitioner 208-529-6430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID NP 669-A) |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2009-03-13 |