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 |