| NPI | 1487078622 |
|---|---|
| Former Name | CAROLY VIDAU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9211505) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9211505) |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2025-01-04 |