| NPI | 1952622524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRINA SWOPE CEO 208-375-0752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SW0102X Clinical Nurse Specialist Women's Health (Licence: ID N-20253) |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health (Licence: ID IDCNS6A) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2010-06-18 |