Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 11015671 | FL |
NPI | 1003588658 |
---|---|
Provider Name | Natalia Carolina Rodriguez |
First Address | Davie, FL 33314-8003 |
Second Address | Davie, FL 33314-8003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2021 |
Last Update Date | 01/10/2021 |