| NPI | 1760810972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARREN AGYEKUM Family Nurse Practitioner 1866-389-2727 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 5531) |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2014-02-05 |