NPI | 1093207854 |
---|---|
Entity Type | Organization |
Authorized Contact | NICOLE L SCOTT Owner 302-502-2959 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LB-0000198) |
Enumeration Date | 2018-06-06 |
Last Update Date | 2018-06-06 |