| 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 |