| NPI | 1427069640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA ALEXANDER-COOK President 234-312-5873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2019-06-20 |