| NPI | 1952092363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THU NGUYEN Owner 786-863-4875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2023-11-27 |