| NPI | 1063742724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYESHA M SIKDER Owner 606-886-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2009-12-31 |
| Last Update Date | 2009-12-31 |