| NPI | 1720621311 |
|---|---|
| Former Name | FERNANDA F CARVALHO DE SOUZA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009538A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3015623) |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2023-05-11 |