| NPI | 1184413379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GURIQBAL NANDRA Manager 844-292-5708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care |
| Enumeration Date | 2025-05-05 |
| Last Update Date | 2025-05-05 |