| NPI | 1578195475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMARIS PATRICE MURRAY Owner/ Nurse Practitioner 667-517-6556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2020-06-25 |