NPI | 1326405416 |
---|---|
Entity Type | Organization |
Authorized Contact | LORA SORRELL Director 765-749-5290 |
Organization Subpart ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2016-01-21 |
Last Update Date | 2024-10-25 |