| NPI | 1427367119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA DAWN LOVE Owner 772-766-5683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 3390252) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2010-09-29 |