| NPI | 1518647163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAHAR TAYLOR Owner/Medical Director 267-495-7118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2025-01-29 |