| NPI | 1255883054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON SOMMERS Director 786-205-4125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8702) |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2017-02-23 |