Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | ||
N | 174N00000X | Lactation Consultant | ||
Y | 176B00000X | Midwife | MW413 | FL |
NPI | 1205482478 |
---|---|
Provider Name | Monica Carrasco Silva |
First Address | Winter Garden, FL 34787-4680 |
Second Address | Winter Garden, FL 34787-4680 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2019 |
Last Update Date | 27/08/2021 |