| NPI | 1013340751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA IMADE ODIASE Vice President 916-479-1332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family (Licence: CA 17711) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 17711) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 17711) | |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2013-09-26 |