| NPI | 1588426431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLETTE NTOKO Ag Np 347-294-4983 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2024-01-26 |
| Last Update Date | 2025-06-10 |