| NPI | 1912786567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN GOEHL-MANOLIS Nurse Practitioner/Owner 952-300-3016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2023-09-25 |