| NPI | 1588263248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSETTE SANDRINE MAKON Agnp Bc, Wcc, Pmhnp Bc 469-989-2697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2023-01-18 |