| NPI | 1275411480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA SNYDER Owner 772-607-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2025-08-25 |
| Last Update Date | 2025-08-25 |