| NPI | 1538465679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBERECHI ANN SOLOMON Owner/Admin 469-544-3556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2014-12-18 |