| NPI | 1154836500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYRON ANDRE DEPUTY Owner 302-652-5109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2025-05-23 |