| NPI | 1932973856 |
|---|---|
| Former Name | CAROLINA BENCOSME NUNEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA065228) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA006743) |
| Enumeration Date | 2023-11-10 |
| Last Update Date | 2023-11-10 |