| NPI | 1932868320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIGNEY OLSON Owner, Nurse Practitioner 571-318-9299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2021-12-13 |
| Last Update Date | 2021-12-13 |