| NPI | 1922426402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA ANNE PINDER Sole Member, CEO 772-215-9946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 1476272) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME69414) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2014-04-02 |