| NPI | 1427984939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARIDA VILDANOVA Owner And Managing Member 754-301-0615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2026-06-22 |
| Last Update Date | 2026-06-22 |