Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | NP95010869 | CA |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | NP95010869 | CA |
NPI | 1629531686 |
---|---|
Provider Name | Frances Dy |
First Address | Los Angeles, CA 90031-0309 |
Second Address | Los Angeles, CA 90033-5312 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2019 |
Last Update Date | 14/08/2021 |