| NPI | 1306683750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AISHA MONIQUE VIELOT Owner/ Operator 954-906-7787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-07-12 |
| Last Update Date | 2024-07-17 |