| NPI | 1972213494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARIZA FERRER Owner 786-602-7838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2026-02-20 |