Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 95014934 | CA |
NPI | 1013583657 |
---|---|
Provider Name | Eileen Frances Frausto |
First Address | Chatsworth, CA 91311-2121 |
Second Address | Chatsworth, CA 91311-2121 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2021 |
Last Update Date | 03/06/2021 |