| NPI | 1871361105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YURITZA MEDINA RAMIREZ Practice Manager 786-278-8785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2023-12-15 |
| Last Update Date | 2025-01-02 |