| NPI | 1396213351 | 
|---|---|
| Former Name | NAIDA LUGO | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11000048) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11000048) | 
| Enumeration Date | 2018-11-08 | 
| Last Update Date | 2019-08-02 |