NPI | 1982130555 |
---|---|
Entity Type | Organization |
Authorized Contact | LAKEISHA KENETI Nurse Practitioner/Owner 757-922-8048 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024170662) |
Enumeration Date | 2017-05-02 |
Last Update Date | 2017-05-02 |