NPI | 1588955751 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNETH KONSKER President 561-300-2410 |
Organization Subpart ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL 2783392) |
Enumeration Date | 2011-04-22 |
Last Update Date | 2011-04-22 |