| NPI | 1053025239 |
|---|---|
| Other Name | LAURENE SANDOVAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95022508) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95036098) |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2023-01-11 |