| 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 |