| NPI | 1811542814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN MARIE DESILETS Cma/Biling 941-916-3242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LH0002X Anesthesiology, Hospice and Palliative Medicine |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2019-08-06 |