| NPI | 1891571634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ETOYUS DANIELS Owner/Family Nurse Practitioner 404-451-4052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2023-09-07 |