| NPI | 1467349001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONETTE MARIE LIGO PASQUIL Pmhnp Bc 346-669-4817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2025-06-18 |
| Last Update Date | 2025-06-18 |