| NPI | 1023535796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIJAYA GHIMIRE President 606-813-1828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2021-11-18 |