NPI | 1952044968 |
---|---|
Entity Type | Organization |
Authorized Contact | MOLLY BEYER Nurse P Ractitioner, Owner 701-201-0636 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
Enumeration Date | 2022-04-18 |
Last Update Date | 2025-01-17 |