| NPI | 1336417476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IHUOMA OTTIH Apn C/ Owner 267-474-1355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00349900) |
| Enumeration Date | 2011-12-04 |
| Last Update Date | 2011-12-04 |