NPI | 1881980852 |
---|---|
Entity Type | Organization |
Authorized Contact | SANDRA JACKSON CEO 302-275-9909 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2011-06-28 |
Last Update Date | 2011-06-28 |