| NPI | 1851075345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDACE NICOLEAU Nurse Practitioner/Owner 347-869-1581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2024-01-30 |