| NPI | 1326801390 |
|---|---|
| Former Name | JASMINE SANDOVAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 14670-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 14670-33) |
| Enumeration Date | 2024-02-02 |
| Last Update Date | 2026-01-26 |