| NPI | 1508668146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLADYS MARIAM OLIVERA Ap RN Pmhnp 786-838-7635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-03-25 |
| Last Update Date | 2025-03-25 |