| NPI | 1154087864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORAL KIRSCHER Owner 704-310-1043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2021-11-17 |