Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LW0102X | Nurse Practitioner - Women's Health | 8019 | CA |
NPI | 1043383904 |
---|---|
Provider Name | Yasna Ouwerkerk |
First Address | Torrance, CA 90505-3130 |
Second Address | Torrance, CA 90502-2006 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2006 |
Last Update Date | 08/07/2007 |