| NPI | 1568630408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA HANKE President/Owner 772-794-1291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 2831342) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2013-03-06 |