| NPI | 1710853502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA EXAMA MOLIN Nurse Practitioner 267-901-8359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2025-10-17 |
| Last Update Date | 2025-10-28 |