| NPI | 1457064982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA ONUORAH Owner 833-583-4778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2022-12-29 |
| Last Update Date | 2022-12-29 |