| NPI | 1366582363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ALEXANDER Credentialing Speciailist 916-233-8607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2024-05-30 |