| NPI | 1497324396 |
|---|---|
| Other Name | IVELISSE CRUZ CARRASQUILLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11011713) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 11011713) |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2023-03-07 |