| NPI | 1285852855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHEROKEE LYNETTE LAVALLEY President 562-310-6996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VH0002X Obstetrics & Gynecology, Hospice and Palliative Medicine (Licence: CA G42217) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 16818) |
| Enumeration Date | 2007-04-21 |
| Last Update Date | 2020-08-22 |