NPI | 1407402787 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREEMAH HAMMOND Owner 302-294-6250 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2019-08-13 |
Last Update Date | 2024-01-30 |