| NPI | 1053993550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUDITH SIMON Advanced Practice Registered Nurse 305-803-4502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2021-04-23 |