NPI | 1992217061 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIE EDITH MALOKU Np 954-559-6045 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 1691672) |
Enumeration Date | 2017-10-30 |
Last Update Date | 2017-10-30 |