| 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 |