| NPI | 1205360997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN RONEY HIBBERD Manager 805-766-3505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95000716) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: CA 544146) |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2017-04-19 |