| NPI | 1003668690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACI HAMMEL Owner 305-588-3546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-04-05 |
| Last Update Date | 2024-04-05 |