| NPI | 1992571251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AISHA VIELOT Nurse Practitioner 954-906-7787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-11-28 |
| Last Update Date | 2025-02-03 |