| NPI | 1841999596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESA SHOWS Secretary 559-280-1164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2023-06-27 |