NPI | 1932669520 |
---|---|
Entity Type | Organization |
Authorized Contact | NADYA JULIEN Owner 302-251-8870 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
208D00000X General Practice | |
103TF0000X Psychologist, Family | |
Enumeration Date | 2019-03-21 |
Last Update Date | 2024-02-21 |