NPI | 1255915591 |
---|---|
Entity Type | Organization |
Authorized Contact | YVETTE MONIQUE ASH Co Owner 407-221-6830 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
Enumeration Date | 2021-05-12 |
Last Update Date | 2022-03-09 |