NPI | 1639608086 |
---|---|
Entity Type | Organization |
Authorized Contact | IHUOMA CHUKS Owner 302-363-5769 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE L10024346) |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2017-06-08 |
Last Update Date | 2022-10-19 |