| NPI | 1750805198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA ANDERSON Executive Director 302-655-6187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-000686) |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2021-03-04 |