| NPI | 1336972470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGETTE MIRABELLE ONDOBO Owner 302-531-8228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2024-08-23 |
| Last Update Date | 2024-08-23 |