NPI | 1164194601 |
---|---|
Entity Type | Organization |
Authorized Contact | SARAH KIM Director 800-879-6137 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
Enumeration Date | 2021-10-04 |
Last Update Date | 2024-07-18 |