| NPI | 1568604940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER J PAUL Owner/Provider 239-433-0035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: FL RN 1748502) |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2022-02-16 |