| NPI | 1578051819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE A EVANS-MITCHELL CEO 302-312-6150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000781) |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2018-04-23 |