| NPI | 1295433878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARPREET KAUR JOHL Pmhnp/Fnp 209-650-0911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2023-02-22 |
| Last Update Date | 2024-10-13 |