| NPI | 1861135881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA S PETIT-VAVAL Nurse Practitioner 305-788-8302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health |
| Enumeration Date | 2022-04-18 |
| Last Update Date | 2022-04-18 |