| NPI | 1801831698 |
|---|---|
| Former Name | MALINDA M. SUBHAKUL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL APRN2547972) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2019-02-27 |