| NPI | 1003628876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY O. ASARE President/Clinical Director 656-232-5383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2025-01-21 |
| Last Update Date | 2025-02-13 |