| NPI | 1699537308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUFUNKE PATIENCE MOMOH Chief Executive Officer 260-237-6588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-01-29 |