| NPI | 1912383530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NNENE UKOHA Owner 443-804-7141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse Medical-Surgical (Licence: MD R130631) |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2015-08-05 |