NPI | 1457787004 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBIN HAYA STARR Nurse Practitioner 252-955-2418 |
Organization Subpart ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 206629) |
Enumeration Date | 2013-09-15 |
Last Update Date | 2013-09-15 |