| NPI | 1871341388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATOYA QUEENBOURROWS Authorized Official 561-201-1516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-05-09 |
| Last Update Date | 2024-12-11 |