NPI | 1346209244 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY BRENNAN Practice Adminitrator 561-509-5009 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2006-03-20 |
Last Update Date | 2022-04-26 |