| NPI | 1699422881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI D. KANJI Owner 866-667-2460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2022-03-07 |
| Last Update Date | 2022-03-07 |