| NPI | 1831919844 |
|---|---|
| Other Name | UNDIWASH |
| Entity Type | Organization |
| Authorized Contact | SHANNON THOMAS Owner 347-885-2190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology |
| Enumeration Date | 2024-10-14 |
| Last Update Date | 2024-10-14 |