| NPI | 1295091015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES IRUNGU Credentialing Manager 877-614-5227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R063769) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2012-04-05 |