| NPI | 1619736170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA S WROBEL Owner 407-201-0997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2024-03-18 |