| NPI | 1366614737 |
|---|---|
| Former Name | NOMIGLY SEPULVEDA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9117988) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA052670) |
| 363AM0700X Physician Assistant, Medical (Licence: SC 3136) | |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2023-12-15 |