Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0402X | Child Neurologist | A126014 | CA |
Y | 2084N0402X | Child Neurologist | ME128174 | FL |
NPI | 1275832032 |
---|---|
Provider Name | Dr. Natanya Maio Mishal |
First Address | Miami, FL 33155-4071 |
Second Address | Miami, FL 33155 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2011 |
Last Update Date | 25/03/2021 |