| NPI | 1457541484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA H. GAULDEN Owner 252-728-3252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 900119) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NC 200400309) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2013-02-27 |