| NPI | 1558087759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE KAMAU CEO 678-707-3234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 251J00000X Nursing Care |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2022-10-19 |