| NPI | 1518710128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTHER MUGOMBA-BIRD Owner 813-498-9378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2024-04-11 |