| NPI | 1962977553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIZA ROMERO Np 954-665-7258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2024-04-16 |