| NPI | 1598400467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVELINE JACQUES Owner 561-337-0210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2024-03-21 |