| NPI | 1225472004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE FOCHT Manager 704-304-6054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NC 5006154) |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2013-07-05 |