| NPI | 1528473592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN ELIZABETH FESMIRE C RN Fa 386-462-7346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: FL RN897992) |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2018-01-10 |