| NPI | 1013452986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORENCE AKOUEGNON C RN P/CEO 267-243-9102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: DE LP-0000135) |
| Enumeration Date | 2016-12-30 |
| Last Update Date | 2025-05-09 |