NPI | 1942332598 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY ANNE HANSEN Owner 940-224-9274 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 570268) |
Enumeration Date | 2007-03-09 |
Last Update Date | 2007-08-16 |