| NPI | 1235831611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYNA CVETKOVA Owner 818-641-4250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2023-03-20 |