| NPI | 1972962181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN CROSS Np/Owner 208-392-8383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID NP-1198A) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: ID CNM-12A) |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2016-02-16 |