| NPI | 1700874690 | 
|---|---|
| Former Name | LUZVIMINDA SOUNESS | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: RI PA00189)  | 
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA00189)  | 
| Enumeration Date | 2005-10-13 | 
| Last Update Date | 2025-04-22 |