NPI | 1578118261 |
---|---|
Entity Type | Organization |
Authorized Contact | PRISCILLA ROSE SANTANA Nurse Practitioner 347-322-8015 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
Enumeration Date | 2019-08-08 |
Last Update Date | 2021-11-30 |