NPI | 1780039297 |
---|---|
Entity Type | Organization |
Authorized Contact | LILIAN IFEOMA AKWUBA President 334-239-7020 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-103472) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-103472) |
Enumeration Date | 2016-05-03 |
Last Update Date | 2017-11-09 |