| NPI | 1861293284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORETTA SANDOVAL Provider, Owner 541-500-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology |
| Enumeration Date | 2025-03-21 |
| Last Update Date | 2025-03-21 |