NPI | 1346426467 |
---|---|
Entity Type | Organization |
Authorized Contact | LYDIA ALEXANDER-COOK President 234-312-5873 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
363L00000X Nurse Practitioner | |
Enumeration Date | 2008-01-18 |
Last Update Date | 2022-07-21 |