| NPI | 1669902755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY BENMOUSSA Owner 563-362-3312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A139678) |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2022-07-21 |