| NPI | 1912131178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN M DANIELS Pediatrician 406-522-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MT 29088) |
| Enumeration Date | 2009-05-03 |
| Last Update Date | 2009-05-03 |