| NPI | 1235842782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE HALBY RN Fa 805-210-4455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant |
| Enumeration Date | 2022-12-29 |
| Last Update Date | 2024-06-02 |