| NPI | 1861909384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE MONDESIR Owner 772-301-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2024-12-20 |