| NPI | 1457131708 |
|---|---|
| Doing Business As | FUNCTIONAL MEDICINE OF DELAWARE |
| Entity Type | Organization |
| Authorized Contact | ASHLEY ALLEN Owner 302-446-4099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2024-05-22 |