| NPI | 1306125224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAEDRA E PATELLA Adult Nurse Practitioner 704-373-0212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5005274) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2011-10-04 |