| NPI | 1104178615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE EFSTRATIS Billing Manger 916-482-7623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 22046) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2012-10-08 |