| 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 |