Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | F320073 | NY |
N | 363LF0000X | Nurse Practitioner - Family Medicine | NPF18168 | CA |
NPI | 1346435625 |
---|---|
Provider Name | Mrs. Bibiane Kim Tinio |
First Address | San Diego, CA 92103-2213 |
Second Address | San Diego, CA 92103-2213 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/09/2007 |
Last Update Date | 08/03/2011 |