| NPI | 1568266450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA WONG Owner 901-219-6515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-04-02 |
| Last Update Date | 2025-05-22 |