NPI | 1831595958 |
---|---|
Entity Type | Organization |
Authorized Contact | LASHOND EVET HILL Owner 501-541-1268 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A003591) |
Enumeration Date | 2014-11-17 |
Last Update Date | 2015-11-02 |