| NPI | 1598629818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEANNA BONAVENTURE Np 786-505-0312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-12-11 |
| Last Update Date | 2025-12-11 |