363LA2100X
Little Rock, AR
Specialty
363LA2100X
Credential
APRN, AGACNP-BC
NPI
1467991000
10201 Kanis Rd., Little Rock, AR 72205
(501) 227-5050Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 363la2100x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 363LA2100X