| NPI | 1528333432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE NKECHI OKWECHIME Owner 317-418-3227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IN 01052094A) |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2012-04-18 |