| NPI | 1962977165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMAN NOVIS Owner 872-240-3712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2019-06-14 |