| NPI | 1871227892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLAH C NOTA Certified Registered Nurse Practiti 610-410-9933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2022-07-14 |