| 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 |