NPI | 1073105227 |
---|---|
Entity Type | Organization |
Authorized Contact | LAYDA C. LABISTE Owner 954-470-4609 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2021-02-09 |
Last Update Date | 2022-05-05 |