NPI | 1023263258 |
---|---|
Entity Type | Organization |
Authorized Contact | LYDIA ALEXANDER-COOK President 234-312-5873 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2008-12-02 |
Last Update Date | 2019-06-03 |