| NPI | 1164988309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEATRICE LANGAT CEO 469-855-3497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2019-02-13 |