| NPI | 1972615466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET LEVERETT Owner 208-535-9009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: ID NP223A) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-09-14 |