NPI | 1104609866 |
---|---|
Entity Type | Organization |
Authorized Contact | HELEN BUKRITSTKY President 267-939-1819 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2023-08-16 |
Last Update Date | 2024-08-14 |