| NPI | 1679331177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH ESELE IYOHA Owner 817-736-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics |
| Enumeration Date | 2024-03-08 |
| Last Update Date | 2024-04-10 |