| NPI | 1457101859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMESE TOROK Owner 808-210-4454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-03-26 |
| Last Update Date | 2024-03-26 |