| NPI | 1265964373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARY LUE-BARTON Program Manager 305-364-2107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-03-29 |