| NPI | 1275044703 |
|---|---|
| Former Name | SNOOKY GENALIN DAGALA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95007818) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 749726) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95007818) | |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2022-07-09 |