specializing in nurse practitioner in Ketchum, Idaho
NPI: 1396953824
Provider Type
2
Practice Locations
Mailing Location
PO BOX 2359
KETCHUM, ID 83340
Practice Location
Provider Information
Gender:
Sole Proprietor:No
Enumeration Date:5/18/2007
Last Updated:5/11/2010
Credentials
Primary Credential: