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 |