| NPI | 1043533870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN PACK President 858-485-8022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 11906) |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2010-03-08 |