| NPI | 1104183110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE F LAKE Founder And Managing Director, Apn 336-471-6109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 201480) |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2012-04-13 |