| NPI | 1487161261 |
|---|---|
| Former Name | IDALUZ FERNANDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9310537) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN9310537) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2025-03-04 |