| NPI | 1942443536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MARIE GRUWELL President/Owner 307-577-7737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WY 19507.318) |
| Enumeration Date | 2009-04-12 |
| Last Update Date | 2012-05-17 |