| NPI | 1619772845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY CHRISTINA BILICKI Nurse Practitioner/Owner 336-688-4058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-02-13 |
| Last Update Date | 2025-02-13 |