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 |