NPI | 1740924265 |
---|---|
Entity Type | Organization |
Authorized Contact | ANASTANSIA MONAYP RATEMO Managing Director 469-579-7020 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2022-04-21 |
Last Update Date | 2022-04-21 |