NPI | 1083950638 |
---|---|
Entity Type | Organization |
Authorized Contact | LYNN GODAR-MOLLICA Owner/Sole Proprietor 561-246-1862 |
Organization Subpart ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology |
Enumeration Date | 2012-12-28 |
Last Update Date | 2012-12-28 |