NPI | 1053127720 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTINE SANTOIAN Provider 818-914-4424 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2024-12-09 |
Last Update Date | 2025-08-26 |