NPI | 1386419372 |
---|---|
Entity Type | Organization |
Authorized Contact | TIFFANY HADDAD Nurse Practitioner Owner 215-200-9200 |
Organization Subpart ? | No |
Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
363LA2200X Nurse Practitioner, Adult Health | |
Enumeration Date | 2023-11-20 |
Last Update Date | 2023-11-20 |