| NPI | 1780281493 |
|---|---|
| Former Name | MARIE SYMONE OBA MAGSOMBOL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95015277) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95015277) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95015277) | |
| 163W00000X Registered Nurse (Licence: CA 95172209) | |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2022-01-11 |