| NPI | 1871947077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN LAW Owner/Practitioner 267-980-2306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: PA OC009781) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2016-10-21 |