| NPI | 1083441208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISNEY RODRIGUEZ GUTIERREZ Pmhnp 786-320-1071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2024-09-19 |