NPI | 1275040883 |
---|---|
Entity Type | Organization |
Authorized Contact | VERONICA FARMER WILBUR Owner 302-375-6746 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Additional Taxonomies | 207K00000X Allergy & Immunology |
Enumeration Date | 2018-01-04 |
Last Update Date | 2019-05-06 |