| NPI | 1669911103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGNONETTE DARLENE Nurse Practitioner 919-438-7899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71006769A) |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2017-02-16 |