| NPI | 1962267575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETTA SNYDER FORS Owner/Nurse Practitioner 208-805-0705 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health |
| Enumeration Date | 2024-02-14 |
| Last Update Date | 2024-02-14 |