| NPI | 1992217061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE EDITH MALOKU Np 954-559-6045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 1691672) |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2017-10-30 |