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 |