| NPI | 1548819964 |
|---|---|
| Former Name | MYRA SEPULVEDA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 95012501) |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2025-03-12 |