| NPI | 1336948728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA DICARA Owner 888-653-3933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2025-03-10 |