| NPI | 1245647072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBEENA AYESHA Owner 917-538-9431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 827700) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2014-08-22 |