| NPI | 1831975119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IFEOMA MAUREEN ASIEGBU Nurse Practitioner 508-373-2224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2023-09-04 |
| Last Update Date | 2023-11-27 |