| NPI | 1144570748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIANA SELPH Office Manager 772-344-2541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL arnp9226579) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2012-09-12 |