Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PE0004X | Emergency Medical Services | NP95009552 | CA |
Y | 363L00000X | Nurse Practitioner | NP95009552 | CA |
NPI | 1215493515 |
---|---|
Provider Name | Karla Sonnier |
First Address | Long Beach, CA 90813-3321 |
Second Address | Long Beach, CA 90813-3321 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2019 |
Last Update Date | 06/01/2022 |