| NPI | 1184382962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERTHA O NKEMERE Family Nurse Practitioner 442-271-9670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2021-11-30 |
| Last Update Date | 2021-11-30 |