| NPI | 1053289165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERYN FERNANDEZ PAUL President 754-332-4395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-10-29 |
| Last Update Date | 2026-01-12 |