| NPI | 1114338027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI D. MOORE President 707-320-3004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 12604) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2014-07-31 |