| NPI | 1073392064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUELA C PIERRE-CHARLES Ap RN 469-915-4211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2023-09-27 |
| Last Update Date | 2024-11-14 |