| NPI | 1578301370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA KELLY Secretary & Treasurer 844-698-8373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2024-07-16 |
| Last Update Date | 2024-07-16 |