| NPI | 1356217343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRIETTA A AGUWA Owner/Nurse Practitioner Family 215-967-4236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-10-15 |
| Last Update Date | 2025-12-30 |